RN Telephonic Case Manager

About the role

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance. RN Telephonic Case Manager – while partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services.

Responsibilities

• Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems.
• Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor.
• Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach.
• Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality.
• Identifies opportunities to expedite care for cost containment and timely medical recovery.
• Provides recommendations for alternate clinical resources to support claim resolution.
• Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

Requirements

• Current unrestricted RN license(s) in a state or territory of the United States.
• Compact license (multistate) required.
• Minimum 1.5 years of prior workers compensation experience.
• Preference for candidates residing in Arizona or Washington (not mandatory).

Qualifications

• Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred.
• Certification in case management, rehabilitation nursing or a related specialty highly preferred.
• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Physical ability for computer keyboarding; adequate hearing, vision and talking.

Skills

• Medical/clinical or rehabilitation knowledge and experience.
• Ability to apply knowledge to manage complex medical conditions, treatment planning and recovery from illness or injury.
• Strong communication and relationship‑building skills.
• Creative problem‑solving and negotiation abilities.
• Advocacy for effective and efficient medical treatment.

Benefits

• Blended work environment with flexibility and autonomy.
• Ongoing learning and professional growth opportunities.
• Strong team environment and culture of support.
• Recognition of successes and celebration of achievements.
• Comprehensive benefits package including:
• Three medical, two dental & vision plans to choose from.
• Tuition reimbursement.
• 401K plan with 50% match on every $ saved up to the first 6%.
• 4 weeks PTO in the first full year.
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Other voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $78,000 – $85,000.